Autar量表指导下的早期护理对脑梗死后昏迷患者下肢深静脉血栓风险的影响

Effect of Early Nursing Under the Guidance of Autar Scale on the Risk of Lower Extremity Deep Venous Thrombosis in Coma Patients After Cerebral Infarction

目的分析Autar量表指导下的早期护理对脑梗死后昏迷患者下肢深静脉血栓(LEDVT)风险的影响。方法选取2019年4月至2021年3月平顶山市第一人民医院收治的83例脑梗死后昏迷患者作为研究对象,根据入院时间分为观察组(42例)和对照组(41例)。对照组接受常规护理,观察组在对照组基础上接受结合Autar量表指导下的早期护理,比较两组患者LEDVT发生率、干预前后意识恢复情况(GCS)、家属自护能力(ESCA)、家属健康知识知晓率。结果观察组LEDVT发生率[2.38%(1/42)]低于对照组[19.51%(8/41)](P<0.05);干预后两组GCS评分均高于干预前,且观察组高于对照组(P<0.05);干预后两组家属ESCA评分均高于干预前,且观察组高于对照组(P<0.05);观察组家属健康知识知晓率[78.57%(33/42)]较对照组[48.78%(20/41)]高(P<0.05)。结论将Autar量表指导下的早期护理应用于脑梗死昏迷患者,可有效预防LEDVT发生,促进患者意识恢复,提高家属照顾能力及健康知识掌握程度。

Objective To analyze the effect of early care under the guidance of the Autar scale on the risk of lower extremity deep venous thrombosis(LEDVT)in patients with coma after cerebral infarction.Methods A total of 83 patients with coma after cerebral infarction admitted to Pingdingshan First People’s Hospital from April 2019 to March 2021 were selected as the research objects.According to the time of admission,they were divided into observation group(42 cases)and control group(41 cases).The control group received routine nursing care and the observation group received early care combined with the Autar scale on the basis of the control group.The incidence of LEDVT,Glasgow coma scale(GCS)before and after intervention,the exercise of self-care agency scale(ESCA),and family health knowledge awareness rate were compared between the two groups.Results The incidence of LEDVT in the observation group[2.38%(1/42)]was lower than that of the control group[19.51%(8/41)](P<0.05).The GCS scores of the two groups after the intervention were higher than those before the intervention,and the observation group was higher than the control group(P<0.05).After the intervention,the ESCA scores of the family members of the two groups were higher than those before the intervention,and the observation group was higher than the control group(P<0.05).The awareness rate of family members’health knowledge in the observation group[78.57%(33/42)]was higher than that of the control group[48.78%(20/41)](P<0.05).Conclusion Early care under the guidance of Autar scale is applied to patients with cerebral infarction and coma,which can effectively prevent the occurrence of LEDVT,promote the recovery of patients’consciousness,and enhance the family’s ability to care for and the degree of health knowledge.